Jefferson Family Dentistry in Lake Hopatcong - Dental
Jefferson Family Dentistry - NPI 1346450913
Jefferson Family Dentistry is a Dental in Lake Hopatcong, New Jersey. Jefferson Family Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Jefferson Family Dentistry is 1346450913. The last update date is 2020-08-22.
Jefferson Family Dentistry's current location address is 706 Rt. 15 South, Lake Hopatcong, New Jersey. You can contact this provider via phone number 9736630990 and fax number 9736636166. The mailing address for Jefferson Family Dentistry is 706 Rt. 15 South, Lake Hopatcong, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Family Dentistry |
|---|---|
| Address | 706 Rt. 15 South, Lake Hopatcong, New Jersey |
| Phone Number | 9736630990 |
| Fax Number | 9736636166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Giralt Enrique |
| Telephone Number | 9736630990 |
NPI Number Detail
| NPI Number | 1346450913 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 706 Rt. 15 South |
|---|---|
| City | Lake Hopatcong |
| State | New Jersey (NJ) |
| Post Code | 7849 |
| Phone Number | 9736630990 |
| Fax Number | 9736636166 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | DI18006 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique identification code assigned to Jefferson Family Dentistry by the Centers for Medicare & Medicaid Services?
The Jefferson Family Dentistry has been issued the NPI (National Provider Identifier) 1346450913. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jefferson Family Dentistry?
The Jefferson Family Dentistry is situated at 706 Rt. 15 South, in the city of Lake Hopatcong, state of NJ, with the zip code 7849.
What is Jefferson Family Dentistry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jefferson Family Dentistry's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date did the Jefferson Family Dentistry receive the assignment of its 1346450913 from the Centers for Medicare & Medicaid Services?
The Jefferson Family Dentistry was issued its 1346450913 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the Jefferson Family Dentistry's details last updated?
The information pertaining to the Jefferson Family Dentistry, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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